2019年山东职业院校技能大赛
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2019年山东省职业院校技能大赛高职组工业产品数字化设计与制造样题
第一阶段:“数据采集、建模与创新设计”阶段
(上半场)
(总时间:3.5小时)
任
务
书
二〇一九年十一月
注意事项
1.参赛选手在比赛过程中应该遵守相关的规章制度和安全守则,如有违反,则按照相关规定在考试的总成绩中扣除相应分值。
2.参赛选手的比赛任务书用参赛证号、组别、场次、工位号标识,不得写有姓名或与身份有关的信息,否则视为作弊,成绩无效。
3.比赛任务书当场启封、当场有效。
比赛任务书按一队一份分发,竞赛结束后当场收回,不允许参赛选手带离赛场,也不允许参赛选手摘录有关内容,否则按违纪处理。
4.各参赛队注意合理分工,选手应相互配合,在规定的比赛时间内完成全部任务,比赛结束时,各选手必须停止操作计算机。
5.请在比赛过程中注意实时保存文件,由于参赛选手操作不当而造成计算机“死机”、“重新启动”、“关闭”等一切问题,责任自负。
6.在提交的电子文档上不得出现与选手有关的任何信息或特别记号,否则将视为作弊。
7.若出现恶意破坏赛场比赛用具或影响他人比赛的情况,取消全队竞赛资格。
8.请参赛选手仔细阅读任务书内容和要求,竞赛过程中如有异议,可向现场裁判人员反映,不得扰乱赛场秩序。
9.遵守赛场纪律,尊重考评人员,服从安排。
10.赛场发放两个U盘。
所有比赛文件保存两个U盘的根目录中一份,计算机D盘根目录中一份,第一阶段比赛完毕提交一个U盘,装入信封封好,选手和裁判共同签字确认。
另一个U盘放在工具箱中,选手在第二阶段时使用其中的加工程序进行加工及装配验证。
2019年山东省职业院校技能大赛导游服务赛项——导游英语口语测试题库Dialogue 1Perform as a tour guide to welcome your tour group from Australia at the airport. When meeting the group, you need to check with the tour leader Mr. Grant to make sure this group is what you are expected to take. Your dialogue with the tour leader will include the following parts:A. Greeting;B. Check the group’s information;C. Introduce yourself, your company and extend your welcome;D. Inquire details concerned.Dialogue 2As a local guide, you are on the way to Taishan Mountain. The tourists want to know more about it. Make a dialogue with them. Your dialogue will include the following points:A. Introduce the significance of Taishan Mountain;B. Introduce the main scenic spots in Taishan Mountain;C. Answer relevant questions;D. Give safe precautions.Dialogue 3Perform as the tour guide, you were stuck in the traffic jam when you went to the airport to pick up a tour group. The tourists have been waiting for a long time when you get there and they are full of grumbles. Please make a dialogue with them to deal with the complaints. Your dialogue will include the following points:A. Make an apology.B. Explain the reasons for being late.C. Give some solutions.Dialogue 4Suppose you are a tour guide, after picking up your group at the airport, you find that a guest lost one piece of his luggage and looks very anxious. You try to help him get it back. Your dialogue with the guest will include the following points:A. Soothe the guest and tell him to prepare the boarding pass and luggage tag.B. Ask for the details about the luggage: size, color, material, etc...C. Contact the concerned department of the airport for luggage loss procedures Dialogue 5Act as a local guide. Now, you are taking a tour group of 20 tourists from the airport to the hotel. You are talking with them when the coach is about to start. Your dialogue will include the following points:A. Introduce yourself, your travel agency and the driver.B. Give a brief introduction to the city and the hotel.C. Answer some questions asked by the guests.Dialogue 6Suppose you are a tour guide. You approach the front office of Shandong Hotel to check in for your tour group. Your dialogue will include the following points:A. Tell receptionist who you are.B. Check in for your tour group of 20 tourists.C. Ask for bellman to carry the luggage.D.Tell the front office the time of morning call.Dialogue 7Perform as a local guide. After arriving at the hotel with your group, you need to advise the necessary information and answer some questions of the tourists. Your dialogue with the tourists will include the following points:A. Introduce the facilities of the hotel.B. Introduce the precautions for staying in the room, especially the storage of valuables, the emergency exit and safe escape route of the hotel.C. Introduce the time, place and dining form of the tour group's dinner today. Dialogue 8Suppose you are the tour guide and you are leading your tour group to their rooms. But one of the tour group members is not satisfied with his room because the shower inside the bathroom is broken and the window cannot be opened. Your dialogue will include the following points:A. Apologize for the inconvenience.B. Ask the guest for the reasons of dissatisfaction.C. Promise to talk with the hotel manager and change the room if it is available. Dialogue 9Perform as a local tour guide to verify the itinerary with Mr. Smith, the tour leader after assigning the rooms. You find that there are two more tourist attractions in his tour plan. Mr. Smith insists that the trip should be arranged according to his plan. Your dialogue will include the following points:A. Apologize to Mr. Smith for the mistake.B. Reconfirm the itinerary with the travel agency and find out the reason for the mistake.C. Offer the possible solutions as well as the compensations.Dialogue 10As a local guide, you are discussing the itinerary with the tour escort, Mr. Smith. Due to the influence of the typhoon, all outdoor scenic spots will be closed tomorrow. Your dialogue will include the following points:A. Apologize to Mr. Smith for the inconvenience.B. Explain the reason to Mr. Smith and ask him to appease the tourists.C. Offer the possible solutions as well as compensations.Dialogue 11As a local tour guide, you are talking about the itinerary with the tour escort, Mr. Smith. Your dialogue will include the following points:A. Ask Mr. Smith for the tourists’ expectation of the tour in the city.B. Briefly introduce some famous tourism attractions in the city.C. Give some suggestions about the tour arrangement.Dialogue 12As a tour escort, after discussing the tour with the local tour guide, you are explaining schedule of tomorrow to your tour group at the end of the dinner. Your dialogue will include the following points:A. Tell the tourists the itinerary of tomorrow.B. Tell the tourists the departure time and return time.C. Tell the tourists the time of morning call.D. Tell the tourists to go to bed early this evening and be on time tomorrow morning. Dialogue 13Act as a local tour guide. It is the first meal time. When ten dishes with a soup as stipulated in the contract are served, two tourists tell you that they are Buddhist and ask Mr. Wang to arrange vegetarian meal for them. They say they mentioned this when they signed up for the tour. Make a dialogue with them. Your dialogue will include the following points:A. Tell the tourists that you will confirm it with the travel agency.B. Apologize for the mistake.C. Offer solutions.Dialogue 14One of your guests wants to know something about Chinese cuisine, especially Shandong cuisine. Act as a local tour guide and make a dialogue with him. Your dialogue will include the following points:A. Introduce some classical Chinese cuisine and Shandong cuisine.B. Introduce some special dishes.C. Recommend some restaurants.Dialogue 15As a local tour guide, you are on the way to Confucius Temple. The guests are very interested in it. Make a dialogue with him. Your dialogue will include the following points:A. Introduce the importance of Confucius in Chinese history.B. Give a brief introduction to Confucius temple.C. Answer some relevant questions.Dialogue 16The tourist is interested in Chinese paper-cut and wants to learn the art of paper-cutting on the free Day. As a tour guide, please introduce Chinese paper-cut to the guest. Your dialogue will include the following points:A. Introduce the history and main features of Chinese paper-cut.B. Introduce some places where the tourist can learn the art of paper-cutting.C. Answer the relevant questions.Dialogue 17Perform as a local guide in Jinan. Your guests want to taste some local snacks and ask for your advice. Make a dialogue with them. Your dialogue will include the following points:A. Introduce some representative local snacks.B. Recommend the guests where to have the genuine snacks in Jinan.C. Tell the guests to pay attention to food hygiene.Dialogue 18A member of an inbound group asks to cancel his journey for an emergency at home. Act as the local guide to make a dialogue with him. Your dialogue will include the following points:A. Ask for the reasons for cancellation.B. Soothe the tourist.C. Tell him how to deal with relevant fees.D. Offer help for his leaving.Dialogue 19Suppose you are the tour guide, you are leading a 26-member tour group to Mengshan Mountain. An old couple request to stay out of the mountain-climbing program. Your dialogue will include the following points:A. Get to know the reasons and show your understanding.B. Give them some precautions, and grant their request.C. Make clear the meeting place, time, the bus number, your phone number, etc... Dialogue 20Perform as a tour guide taking a group to the seashore of Qingdao. Make sightseeing precautions before the group begins the tour. Make a dialogue with the tourists. Your dialogue will include the following points:A. Remind the tourists of things to take with them.B. Give advice about how to relax and enjoy themselves on the seashore.C. Forbid any swimming without permission.D. Tell the group the time of gathering.Perform as a tour guide. Today is a free day, and one of your tourists wants you to go shopping with her. But you have already had an appointment. Your dialogue with the tourist will include the following parts:A. Explain the reasons why you cannot go with her.B. Introduce some local products and write down the name of the stores.C. Remind her of coming back earlier.Dialogue 22Suppose you are a tour leader. Some tourists would like to watch the performance of Qingdao City Light Show in the evening. Your dialogue will include the following points:A. Introduce Qingdao City Light Show to these tourists.B. Suggest that they should go there by taxi. It is about half an hour to drive from the hotel to the Light Show.C. Suggest that they use Didi Car-hailing app to rent a car and go back to the hotel after the Light Show.Dialogue 23As a local guide, you are heading for Taierzhuang Ancient Town with the tour group. However, you find that two members are not present when you do the nose count. Some tourists tell you that the two tourists would rather stay at the hotel. You have a conversation with the tour escort, Mr. Smith. Your dialogue will include the following points:A. Ask him if he has already known it.B. Reach an agreement with him about how to deal with the two tourists.C. Make a good arrangement for the two guests.Dialogue 24As the local guide, you are on the way to the Penglai Pavilion when a tourist suddenly faints and falls to the floor. After briefly checking the tourist, you have a conversation with Mr. Smith, the tour escort. Your dialogue will include the following points:A. Tell him the symptoms are quite like those of a heart attack.B. Tell him that you have to stop the coach and call an ambulance.C. Ask him to give you a hand to comfort the group.Dialogue 25An American tourist loses his passport while the group is doing sightseeing. Act as the local guide to make a dialogue with him. Your dialogue will include the following points:A. Offer the solutions to the tourist for the loss.B. Ask for photos for a new passport.C. Tell the tourist to declare the loss.D. Tell the tourist he should cover the extra expense himself.Act as a local guide .You receive a call from a tourist who gets a serious headache and a sore throat after registration. You rush to his room and make a dialogue with him with the following points:A. Inquire about the symptom.B. Help him to get some medicine at the clinic in the hotel.C. Tell him to pay the medical expenses himself.D. Persuade him to stay in the hotel, and arrange the meal for him.Dialogue 27Suppose you are the local guide and one of your guests tells you angrily that his diamond necklace is lost in the room. Your dialogue will include the following points:A. Soothe the guest.B. Inquire the details, including the color, the size of the diamond necklace, etc...C. Offer solutions.D. Tell the tourist the hotel regulations of the valuables again.Dialogue 28Suppose you are the tour guide, two foreign tourists tell you that they get in touch with their long lost friends and want to invite them to take part in the activities of the tour group. Your dialogue will include the following points:A. Figure out the identities of the guests’ friends.B. Tell them that you’ll have to get the permission of the tour leader and other tourists first.C. Tell them to get their friends’ ID Cards and travel fee ready.Dialogue 29Act as a local guide. You are taking a tour group in Shandong province during the spring festival. The tourists are interested in Chinese cultures such as Wushu, the spring festival. Your dialogue will include the following points:A. Give a brief introduction to Wushu, such as Taijiquan.B. Give a brief introduction to the customs of the spring festival.C. Answer some questions asked by the tourists.Dialogue 30A tour group is now on the way to the Qingdao airport. Perform as the tour guide to give a farewell speech to the tour group. Your dialogue will include the following points:A. Review the whole tour process and thank the guests for their good cooperation.B. Ask the tourists for some advice.C. Make an apology to the tourists for anything unsatisfied during the trip.D. Give the best wishes to them.。
教育部关于公布2019年全国职业院校技能大赛获奖名
单的通知
文章属性
•【制定机关】教育部
•【公布日期】2019.10.22
•【文号】教职成函〔2019〕12号
•【施行日期】2019.10.22
•【效力等级】部门规范性文件
•【时效性】现行有效
•【主题分类】职业教育与成人教育
正文
教育部关于公布2019年全国职业院校技能大赛获奖名单的通
知
教职成函〔2019〕12号各省、自治区、直辖市教育厅(教委),各计划单列市教育局,新疆生产建设兵团教育局,有关单位:
2019年全国职业院校技能大赛于5月7日至6月16日在天津主赛区和北京、山西、内蒙古、吉林、江苏、浙江、安徽、福建、山东、河南、湖北、湖南、广东、广西、重庆、贵州、云南、陕西、甘肃、宁夏、青岛等21个分赛区成功举行。
共有来自全国37个地区的17450名选手参加了中、高职组87个项目的比赛。
现将获得常规赛项一、二、三等奖的选手、优秀指导教师及所在学校名单予以公布(详见附件)。
请各地结合实际,加大对大赛获奖选手的宣传表彰力度,充分利用比赛资源,发挥大赛对职业教育专业教学改革与建设的引领作用,促进人才培养与产业发展紧密结合,推动职业教育事业不断取得新的发展。
附件:1.2019年全国职业院校技能大赛获奖名单(中职组)
2.2019年全国职业院校技能大赛获奖名单(高职组)
教育部
2019年10月22日。
2019 年全国高等职业院校技能大赛护理技能赛项试卷( 19)一、单项选择题。
在每小题列出的五个备选项中只有一个符合题目要求的,请将其正确代码填写在试卷后的答题卡内。
错选、多选或未选均无分。
1.肥厚型心肌病患者猝死的先兆症状是A.心悸B.晕厥C.心前区疼痛D.全身乏力E.呼吸困难答案:B2.某急性心肌梗死的患者发病 48 小时后,要求到厕所大便,责任护士应该A.嘱家人陪同前往B.用开塞露后,再允许前往C.先给予缓泻剂,再允许前往D.如无便秘史,应允许前往E.制止患者,指导其床上使用便盆答案:E3.患者男,58 岁。
糖尿病病史 30 余年。
目前使用胰岛素治疗,但血糖未规律检测。
近 3 个月出现眼睑及下肢浮肿来诊。
尿常规检查:尿糖( ++),WBC 0-4/HP,尿蛋白(+++)。
应优先考虑的是A.胰岛素性水肿B.肾动脉硬化C.肾盂肾炎D.急性肾炎E.糖尿病肾病答案:E4.患者,男,55 岁,头痛3 个月,多见于清晨,常出现癫痫发作,经检查诊断为颅内占位性病变、颅内压增高,拟行开颅手术。
错误的治疗措施是A.腰椎穿刺,降低颅内压B.使用利尿剂C.应用激素D.大剂量20%甘露醇静滴E.手术减压答案:A5.颅内压正常值为A.0.2~0.6kPaB.0.7~2.0kPaC.2.1~3.0kPaD.3.1~3.6kPaE.3.7~4.6kPa答案:B6.初产妇,26岁,妊娠40周,规律宫缩5小时,胎头高浮,胎心140次/分,宫口开大2cm。
6 小时后破膜,立即听胎心率,减慢至 80 次/分。
本例应首先考虑的是A.胎头受压,脑血流量一时性减少B.脐带脱垂C.胎盘功能不良D.宫体包裹胎体E.脐带绕胎儿颈部答案:B7.女婴, 6 个月时体重8kg,6 个月后断奶,主要米糊、面喂养,断奶后至今 3 个月,目前体重为 8.5kg,诊断为Ⅰ度营养不良,依据是体重比正常体重下降A.5%~10%B.10%~15%C.15%~25%D.25%~40%E.40%~50%答案:C8.孕妇,妊娠 33 周,无诱因阴道出血约150ml,腹部检查:腹软,无压痛,胎位清楚,胎心 148 次/分,阴道可见少量血液。
2019年山东省职业院校技能大赛高职组
“信息安全管理与评估”赛项任务书
第三阶段题库
漏洞列表一:
1. 靶机上的网站存在后门,要求选手进行代码审计,找到相关的漏洞,利用漏洞获取一定权限。
2. 靶机上的网站存在命令执行、文件包含漏洞,要求选手找到命令执行、文件包含的相关漏洞,利用漏洞获取一定权限。
3.操作系统提供的服务存在未授权访问,要求选手利用相关漏洞,获取一定权限。
4. 靶机中存在一些后门,要求选手可以找到后门,并利用预留的后门直接获取flag。
选手通过以上的所有漏洞点,得到其他选手靶机的最高权限,并获取其他选手靶机上的FLAG值进行提交。
漏洞列表二:
1. 靶机上的网站可能存在命令注入的漏洞,要求选手找到命令注
入的相关漏洞,利用漏洞获取一定权限。
2. 靶机上的网站可能存在文件上传漏洞,要求选手找到文件上传
的相关漏洞,利用漏洞获取一定权限
3. 靶机上的网站可能存在文件包含漏洞,要求选手找到文件包含
的相关漏洞,结合其他漏洞获取一定权限并进行提权
4. 操作系统提供的服务可能包含了远程代码执行的漏洞,要求用
户找到包含远程代码执行的服务,并利用此漏洞获取系统权限。
5. 操作系统提供的服务可能包含了缓冲区溢出漏洞,要求用户找
到缓冲区溢出漏洞的服务,并利用此漏洞获取系统权限。
6. 操作系统中可能存在一些系统后门,选手可以找到后门,并利
用预留的后门直接获取到系统权限。
选手通过以上的所有漏洞点,得到其他选手靶机的最高权限,并获取其他选手靶机上的FLAG值进行提交。
2019年青岛市中等职业学校技能大赛
结果公示
青职赛执办字〔2019〕10号
各区、市教育(体)局,各中等职业学校:
根据《关于举办2019年青岛市中等职业学校技能大赛的通知》(青教通字〔2019〕068号)要求,各中等职业学校积极参赛,35所学校的2771名学生和583名教师参加73个项目的比赛,现将比赛结果予以公示(名单见附件)。
一、公示时间
2020年3月9日—3月13日
二、受理部门
青岛市教育科学研究院(济阳路7号)
联系人:张宪,联系电话:87076155
三、有关要求
公示期间,对评选结果有任何异议,单位和个人均可以书面方式向受理部门反映。
单位提出的异议,须在异议材料上加盖本单位公章,并写明联系人工作单位、通讯地址和电话。
个人提出的异议,须在异议材料上签署真实姓名,并写明本人工作单位、通讯地址和电话。
不符合上述要求的异议,不予受理(不受理口头、电话或匿名信形式反映的意见)。
附件:2019年青岛市中等职业学校技能大赛比赛结果
青岛市中等职业学校技能大赛执委会办公室
(青岛市教育科学研究院代章)
2020年3月9日
附件
2019年青岛市中等职业学校技能大赛比赛结果
39.比赛项目:国际贸易技能(学生)。
淄博理工学校代表淄博市参加山东省职业院校服装技能大赛
2019年10月29日—31日,山东省职业院校技能大赛(中职组)"服装设计与工艺"赛项在潍坊经济学校举行。
此次大赛由山东省教育厅、山东省经济和信息化厅、山东省人力资源和社会保障厅、山东省农业农村厅联合主办,潍坊经济学校承办,青岛希柏润工贸有限公司协办。
大赛为团体赛,每队由2名选手组成,竞赛内容包括理论知识和专业技能两个部分,其中专业技能比赛又分为电脑款式拓展设计及纸样设计与立体造型、CAD样板制作与推板及裁剪与样衣试制。
竞赛共用时17小时40分钟。
全省有13支代表队、26名选手参加了比赛。
淄博理工学校2018级服装班齐雨婷和杨雯迪两位同学代表淄博市参加了比赛并获佳绩。
大赛旨在检验和展示中等职业学校服装类专业教学改革成果,引领和促进中等职业学校服装类专业建设与课程改革,调动企业参与服装专业教学改革的积极性和主动性,弘扬"工匠精神",培养学生精益求精的职业素养,提升中等职业学校服装专业人才培养的水平。
2019年全国职业院校技能大赛教学能力比赛获奖数据分析作者:古燕莹来源:《职业技术教育》2020年第18期摘要对2019年全国职业院校技能大赛教学能力比赛地方代表队参赛及获奖基本情况统计分析,同时从省市整体、中职、高职3个视角对获奖数量、获奖学校分布、获奖课程与专业分布进行多维度统计分析,发现参赛热情持续高涨、教学改革优势凸显,但仍存在区域间不均衡,省市内中职、高职间不均衡,学校间不均衡,课程、专业间不均衡等问题。
需要坚定立德树人使命、积极深化“三教”改革、促进均衡协调发展,以进一步促进我国职业教育教学改革。
关键词职业院校;教学能力比赛;获奖数据;“三教”改革中图分类号 G712 文献标识码 A 文章编号 1008-3219(2020)18-0024-092019年全国职业院校技能大赛教学能力比赛创新赛制实施全新方案,把往届教学设计、课堂教学、实训教学3个赛项整合为1个赛项,重点考察教学团队针对某门课程中部分教学内容完成教学设计、实施课堂教学、评价目标达成、进行反思改进的能力。
本届比赛首次鼓励东西协作、校企合作、跨校联合组建教学团队参赛。
比赛分中等职业教育组、高等职业教育组和军事职业组。
中职组、高职组各设公共基础课程组、专业一组和专业二组3个组别。
本文以地方代表队为研究对象,通过梳理教育部办公厅公布的2019年全国职业院校技能大赛教学能力比赛获奖名单[1]、报名情况、比赛参赛指标,统计分析本届比赛地方代表队参赛及获奖基本情况,同时从省市整体、中职、高职3个视角对获奖数据进行多维度统计分析,据此得出基本结论并提出对策建议。
一、地方代表队参赛及获奖基本情况数据统计与分析(一)参赛基本情况对地方代表队报名情况和参赛指标进行统计,见表1。
数据显示:本届比赛共收到来自地方37个代表队的791件参赛作品(中职424件、高职367件),地方队参赛覆盖率达100%,作品参赛率达95.53%,分别较2018年提高2.7%和7.43%,创历史新高,作品参赛率中职与高职基本持平。
2019年山东省职业院校技能大赛(高职组)“云计算技术与应用”A卷场景描述一、需求说明某企业计划搭建私有云平台,以实现资源的池化弹性管理、企业应用的集中管理、统一安全认证和授权管理。
按照给出的云平台架构进行IaaS、PaaS、大数据系统部署及运维管理,并进行大数据分析应用开发和微信小程序开发,最后提交工程文档。
二、云平台架构说明赛项所采用的云计算系统架构如图1所示,IP地址规划如表1所示。
图1 云计算系统架构图表1 IP地址规划表注:表中的x为考位号;根据以上信息,检查硬件连线及网络设备配置,确保网络连接正常。
第一部分:IaaS云计算基础架构平台(共15分)任务一、IaaS云平台搭建(15分)修改云平台IaaS各节点的系统配置,按云平台搭建步骤逐步安装,并完成相应的答题。
1.操作系统环境配置(1分)按以下要求设置主机名、防火墙及SELinux:(1)设置控制节点主机名为controller,计算节点主机名为compute;(2)关闭控制节点和计算节点的防火墙,设置开机不启动;(3)设置控制节点和计算节点的SELinux为Permissive模式;(4)退出SecureCRT,重新通过ssh连接各节点服务器;使用命令查询控制节点和计算节点的主机名、防火墙是否处于关闭状态及SELinux的状态。
以文本形式依次将命令行及查询信息提交到答题框。
2.上传镜像源并挂载(1分)通过SecureFX上传两个镜像文件CentOS-7-x86_64-DVD-1511.iso和XianDian-IaaS-v2.2.iso到控制节点的opt目录下;在opt目录下创建两个子目录centos和iaas,并将镜像文件对应挂载到上述两个目录下;使用df命令查看挂载的信息(需显示挂载的文件系统类型)。
依次将操作命令及执行结果以文本形式提交到答题框。
3.配置本地以及远程yum源(1分)配置控制节点本地yum源文件local.repo,搭建ftp服务并配置根目录为指向存放yum 源的路径;配置计算节点yum源文件ftp.repo,使用控制节点ftp服务作为yum源,其中节点的地址以主机名表示;使用cat命令查看控制节点和计算节点的yum源全路径配置文件。
1 2019年山东省职业院校技能大赛 高职组“护理技能”竞赛样题
选手答题注意事项: 1.本卷所有试题必须在答题卡上作答。答在试卷上无效,试卷空白处和背面均可作草稿纸。 2.使用2B铅笔在答题卡上将相应题号的相应字母所属的方框涂黑。 一、单项选择题。每题含A、B、C、D、E五个选项,选项中有一个答案是正确的,参赛选手应将正确的选项选择出来并按要求在答题卡相应位置填涂,多选、少选或不选均不得分。(共35题,每小题2分) 1-4题共用题干 为给患者提供一个适合其恢复身心健康的环境,要考虑到环境的舒适性及安全性,其中舒适感首先来自医院良好的物理环境。 1.治疗性环境要求的适宜温度是( ) A.24℃-25℃ B.23℃-25℃ C.21℃-24℃ D.18℃-22℃ E.16℃-22℃ 答案:D 2.治疗性环境要求的适宜相对湿度是( ) A.55%-65% B.50%-60% C.45%-50% D.40%-50% E.35%-45% 答案:B 3.一般病房为达到空气置换的目的需每日通风至少( ) A.30min B.60min C.45min D.50min E.20min 答案:A 4.病房内病床之间的距离不得少于( ) A.1.0m B.1.5m C.1.6m D.1.8m E.2.0m 答案:A 5-8题共用题干 患者,女性,29岁,因发热、咽痛2天来院就诊。患者神志清、精神差,体温38.9℃,2
扁桃体Ⅱ度肿大。入院后诊断为急性化脓性扁桃体炎,护士遵医嘱给予青霉素肌肉注射,该患者青霉素皮试(-)。 5.护士给患者肌肉注射时首选部位是( ) A.臀小肌 B.股外侧肌 C.三角肌 D.臀中肌 E.臀大肌 答案:E 6.护士遵循注射药物现用现配的原则,其意义是( ) A.防止减低药效、减少过敏反应 B.防止差错事故 C.防止药物浪费 D.防止出现配伍禁忌 E.减少毒性反应 答案:A 7.如为患者行侧卧位肌肉注射,其体位准备是( ) A.下腿弯曲,上腿伸直 B.两腿伸直,足跟相对 C.两腿伸直,足尖相对 D.两腿弯曲,放松 E.上腿弯曲,下腿伸直 答案:A 8.范围直径为大于( ) A.7cm B.6cm C.5cm D.4cm E.3cm 答案:C 9-11题共用题干 患者,男性,21岁,因外出春游出现咳嗽,咳白色粘痰伴哮喘1天入院。体温36.6ºC,脉搏90次/分,呼吸28次/分,血压120/80mmHg,肺部可闻及广泛哮鸣音,既往有哮喘史。 9.该患者最可能的诊断是( ) A.肺炎 B.支气管扩张 C.慢性支气管炎 D.支气管哮喘 E.肺心病 答案:D 10.该患者哮喘发作最可能的诱因是( ) A.花粉 B.动物的毛屑 C.尘螨 D.病毒感染 E.精神因素 答案:A 11.患者出现呼吸困难,有轻微发绀,神志清楚。该患者属于哪种呼吸困难( ) 3
A.喘息性 B.呼气性 C.吸气性 D.浮浅性 E.混合性 答案:B 12-14题共用题干 患者男性,66岁,肥胖,有高血压病史血压140/90mmHg,近日心前区发生疼痛,考虑为心绞痛。 12.该患者胸痛的性质应是( ) A.隐痛持续整天 B.锻炼后可减轻 C.刀割样痛 D.阵法针刺样痛 E.压迫、发闷或紧缩感 答案:E 13.疼痛部位应是( ) A.胸骨体上段或中段之后 B.胸骨体下段 C.心尖区 D.整个左胸 E.剑突下区 答案:A 14.疼痛持续时间多为( ) A.1min-2min B.3min-5min C.5min-8min D.8min-20min E.超过20min 答案:B 15-17题共用题干 患者,男性,25岁,体重57kg,2周来反复呕吐、腹泻,曾在当地医院输液治疗(具体不详)。近一周感乏力、头昏、手足麻木。查体:血压90/60mmHg,脉搏88次/分,呼吸22次/分,血钾3.7mmol/L,血钠130mmol/L。 15.该患者最有可能的诊断是( ) A.轻度低渗性缺水 B.中度低渗性缺水 C.重度低渗性缺水 D.代谢性酸中毒 E.低钾血症 答案:A 16.给予补液治疗,首先补下列哪种液体( ) A.羟乙基淀粉 B.5%葡萄糖盐溶液 C.等渗盐水溶液 D.血浆 E.10%GS 答案:B 17.给患者补钠治疗,补钠的量应该是( ) 4
A.6g B.8g C.10g D.12g E.15g 答案:C 18-20题共用题干 患者,男性,32岁,因车祸伤及头、面、胸部等多处,伤后昏迷不能经口进食,给予置入鼻肠管,行肠内营养支持。 18.经鼻肠管进行肠内营养支持的护理措施正确的是( ) A.胃内容物残留量为200ml,可继续输注肠内营养液 B.输注营养液时可取头部抬高30°的半卧位 C.配置的肠内营养液超过24小时可以继续使用 D.营养液浓度由10%开始,逐渐增加速度输注,2天达到全量 E.每天输注营养液后冲洗管道即可,其他时间不用冲洗管道 答案:B 19.患者肠内营养时最多见的并发症是( ) A.高血糖 B.喂养管阻塞 C.胃肠道并发症 D.吸入性肺炎 E.脱管 答案:D 20.如果患者在输注过程中发生误吸,下列选项中错误的做法是( ) A.鼓励咳嗽 B.气管镜清除误吸物 C.经鼻导管吸痰 D.刺激咽喉部,以排出吸入物 E.患者不适应,改用胃肠外营养 答案:E 21-22题共用题干 患者,男性,42岁,因右小腿严重外伤后,发生气性坏疽,住院治疗。 21.首先的处理措施是( ) A.给氧 B.高压氧治疗 C.加强营养 D.手术 E.止痛 答案:D 22.下列处理不必要的是( ) A.高压氧治疗 B.隔离 C.避光安静 D.清创手术 E.应用青霉素 答案:C 5
23-25题共用题干 患者,女性,59岁,已确诊为肺癌早期无远处转移;患者已知道自己的病情,四处求医,寻找偏方。 23.该患者的心理反应属于( ) A.接受期 B.磋商期 C.愤怒期 D.抑郁期 E.震惊否认期 答案:B 24.该患者首选的治疗方法应是( ) A.手术治疗 B.放射治疗 C.化学治疗 D.中医药治疗 E.生物治疗 答案:A 25.该患者肿瘤定性诊断的检查是( ) A.影像学检查 B.实验室检查 C.内镜检查 D.病理学检查 E.B超检查 答案:D 26-29题共用题干 患者,女性,35岁,体检发现右侧乳房肿块1天,门诊以原位癌收入院。 26.乳房原位癌早期的临床表现不包括( ) A.酒窝症 B.无痛单发小肿块 C.无意中发现 D.多位于乳房外上象限 E.与周围组织分界不清 答案:A 27.患者和家属要求手术,其手术方式宜选择( ) A.乳腺癌根治术 B.乳腺癌改良根治术 C.单纯乳房切除术 D.乳腺癌扩大根治术 E.保留乳房的乳腺癌切除术 答案:C 28.患者术后,指导患者患侧功能锻炼应达到的目标是( ) A.手摸到对侧肩部 B.肩能平举 C.肘能屈伸 D.手能摸到同侧耳朵 E.手经头摸到对侧耳朵 答案:E 29.出院前进行健康指导,对预防复发最重要的是( ) 6
A.参加体育活动,增强体质 B.5年内避免妊娠 C.经常自查乳房 D.加强营养 E.定期来院复查 答案:B 30-33题共用题干 患者,男性,32岁,饱餐、酗酒后数小时,上腹部持续性剧痛并向左肩、腰背部放射,伴恶心、呕吐4小时来医院急诊。 30.最有助于拟诊的检查是( ) A.血常规 B.尿常规 C.X线 D.血清淀粉酶 E.B超 答案:D 31.经相关检查,诊断为急性胰腺炎,非手术治疗时下列哪项措施不正确( ) A.禁食 B.胃肠减压 C.静脉输液 D.抑制胰酶药的应用 E.肠内营养支持 答案:E 32-35题共用题干 健康男婴,出生体重为3.5kg、身长为50cm、头围34cm,现在年龄为6个月,来医院做健康体检。 32.预计该婴儿的体重应当为( ) A.5.5kg B.6.0kg C.6.5kg D.7.2kg E.7.7kg 答案:E 33.预计该婴儿的身长应当为( ) A.55cm B.65cm C.70cm D.80cm E.85cm 答案:B 34.预计该婴儿的头围应当为( ) A.58cm B.50cm C.48cm D.44cm E.40cm 答案:D 35.在感知觉发育上预计该婴儿可以( ) A.可以区别父母的声音 B.区别语义 7
C.能够注视3米远的小玩具 D.视力达到0.5 E.具有空间知觉 答案:A 二、多项选择题。每题含A、B、C、D、E五个选项,选项中有一个以上(包括五个)的答案是正确的,参赛选手应将正确的选项选择出来并按要求在答题卡相应位置填涂,多选、少选或不选均不得分。(共10题,每小题3分) 1-4题共用题干 患者女性,58岁,有冠心病史10年。1小时前于午休后突然出现不能言语,右侧肢体活动不灵。查体:神志清,双侧鼻唇沟对称,伸舌不合作,右侧肢体肌力0级,以“脑血栓形成”收入院。 1.给予该患者的治疗措施正确的是( ) A.早期溶栓 B.防止脑水肿 C.血压正常尽早给予高压氧舱治疗 D.调整血压 E.尽早应用血管扩张剂 答案:ABCD 2.对该患者进行早期溶栓治疗的时间应在发病后多长时间,以下错误的是( ) A.3小时内 B.5小时内 C.6小时内 D.8小时内 E.10小时内 答案:ABDE 3.目前国内使用的主要溶栓药物有( ) A.链激酶 B.尿激酶 C.重组组织型纤溶酶原激活剂 D.肝素 E.阿司匹林剂 答案:BC 4.对该患者的护理措施正确的是( ) A.能吞咽时鼓励进食 B.关心尊重患者,鼓励其表达自己的感受 C.有吞咽困难时尽量使用吸管,以免误吸 D.协助患者选择既安全又有利于进食的体位 E.注意观察药物的不良反应 答案:ABDE 5-6题共用题干 患者,女性,25岁,转移性右下腹痛6小时入院,有固定的压痛点,诊断为急性阑